Sara Sports Culclasure, CLINICAL COUNSELOR

NPI #1194083329 in Dillon, South Carolina

Provider Information

NPI Number: 1194083329
Entity Type: Individual
Name: Sara Sports Culclasure, CLINICAL COUNSELOR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: CLINICAL COUNSELOR
Enumeration Date: Apr 25, 2012
Last Updated: Apr 25, 2012

Practice Location

Address: 1324 COMMERCE DR.
City: Dillon
State: South Carolina
ZIP Code: 29536
Phone: (843) 774-3351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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